Provider Demographics
NPI:1740456656
Name:WOMEN OF HOPE RESOURCE CENTER, INC
Entity type:Organization
Organization Name:WOMEN OF HOPE RESOURCE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB-THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-767-3700
Mailing Address - Street 1:331 WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-2230
Mailing Address - Country:US
Mailing Address - Phone:856-767-3700
Mailing Address - Fax:856-767-3743
Practice Address - Street 1:331 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:ATCO
Practice Address - State:NJ
Practice Address - Zip Code:08004-2230
Practice Address - Country:US
Practice Address - Phone:856-767-3700
Practice Address - Fax:856-767-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000281-07251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1306241856OtherMENTAL HEALTH
NJ0155471Medicaid
NJ0160482Medicaid